California Insurance Code

§ 10180

INS § 10180Div. 2 · Part 2 · Ch. 1 · Art. 4

Statute text

(a)A disability insurer which negotiates and enters into a contract with professional providers to provide services at alternative rates of payment pursuant to Section 10133 of the Insurance Code, shall give reasonable consideration to timely written proposals for contracting by licensed or certified professional providers.

(b)For the purposes of this section, the following definitions are applicable:

(1)“Reasonable consideration” means consideration in good faith of the terms of proposals for contracting prior to the time that contracts for alternative rates of payment are entered into or renewed. An insurer may specify the terms and conditions of contracting to assure cost efficiency, qualification of providers, appropriate utilization of services, accessibility, convenience to persons who would receive the provider’s services, and consistency with its basic method of operation, but shall not exclude providers because of their category of license.

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Legislative history

Added by Stats. 1984, Ch. 977, Sec. 2.